Basic Information
Provider Information
NPI: 1659357820
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FELTER
FirstName: LESLIE
MiddleName: J
NamePrefix: MRS.
NameSuffix:  
Credential: OT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7595 COUNTY ROAD 236
Address2:  
City: FINDLAY
State: OH
PostalCode: 458408738
CountryCode: US
TelephoneNumber: 4194271984
FaxNumber: 4194272864
Practice Location
Address1: 7595 COUNTY ROAD 236
Address2:  
City: FINDLAY
State: OH
PostalCode: 458408738
CountryCode: US
TelephoneNumber: 4194271984
FaxNumber: 4194272864
Other Information
ProviderEnumerationDate: 12/20/2005
LastUpdateDate: 11/26/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225X00000XOT004762OHY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 

No ID Information.


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